Individual provider Active NPI

Alan Griffin Ainsworth, RPH

  • Pharmacist
  • Granbury, TX
National Provider Identifier
1801435813
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
27976 Issued in TX
Practice address
1301 S Morgan St
Granbury, TX 76048-1987
Phone
(817) 279-9840
Fax
(817) 579-9731
NPI assigned
Dec 23, 2019
Last updated
Dec 23, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 27976 TX Primary

Addresses

Primary practice location

1301 S Morgan St
Granbury, TX 76048-1987

Mailing address

13157 Hwy 271
Tyler, TX 75708-2453
Phone (903) 877-6823

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL rx094@brookshires.com
CONNECT URL rx094@brookshires.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
27976TXMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1801435813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13157 HWY 271",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757082453",
            "telephone_number": "903-877-6823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S MORGAN ST",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760481987",
            "telephone_number": "817-279-9840",
            "fax_number": "817-579-9731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AINSWORTH",
        "first_name": "ALAN",
        "middle_name": "GRIFFIN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-23",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "27976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "rx094@brookshires.com",
            "affiliation": "N",
            "address_1": "1301 S Morgan St",
            "city": "Granbury",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760481987",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "rx094@brookshires.com",
            "affiliation": "N",
            "address_1": "1301 S Morgan St",
            "city": "Granbury",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760481987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Granbury, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.